Using Medicare for Therapy in Philadelphia (What to Know)
Turning Leaf Therapy does not accept Medicare or Medicaid, and out-of-network reimbursement generally does not apply to these plans, so care with us is self-pay at $130 to $200 per session. Note that the No Surprises Act Good Faith Estimate requirements do not apply to enrollees in Medicare, Medicaid, the Indian Health Service, Veterans Affairs health care, or TRICARE, which have their own billing protections (Centers for Medicare and Medicaid Services).
What self-pay looks like here
Sessions run $130 to $200 per 50-minute session depending on the clinician, with exact rates shared during intake, before scheduling. Payment is by credit, debit, HSA, or FSA card at the time of service. Where your HSA or FSA is eligible, it can pay for therapy with pre-tax dollars.
A limited number of reduced-fee spots exist for clients experiencing financial hardship. Availability varies; if cost is a barrier, reach out so we can discuss options.
Why we do not suggest superbills for Medicare
For commercial PPO plans, we provide superbills for out-of-network reimbursement. Out-of-network reimbursement generally does not apply to Medicare or Medicaid, so we will not point you toward a paperwork path that does not pay. Self-pay with us is a clear-eyed choice, and we would rather you make it with accurate expectations.
If self-pay is not workable
Lower-cost care exists in Philadelphia, including community mental health centers that accept Medicare and Medicaid. And if you are in crisis, do not navigate coverage at all: call or text 988, or call the Philadelphia Crisis Line at (215) 685-6440.
For the full picture of fees, payment, and the Good Faith Estimate, see our rates page and getting started.
Frequently asked questions
Does Turning Leaf accept Medicare or Medicaid?
No. We do not accept Medicare or Medicaid, and out-of-network reimbursement generally does not apply to these plans. Care with us is self-pay at $130 to $200 per session.
Does the Good Faith Estimate apply to Medicare enrollees?
The No Surprises Act Good Faith Estimate requirements do not apply to enrollees in Medicare, Medicaid, the Indian Health Service, Veterans Affairs health care, or TRICARE, which have their own billing protections (Centers for Medicare and Medicaid Services).
What are my options if I cannot afford self-pay?
Ask about our limited reduced-fee spots, or look to Philadelphia community mental health centers that accept Medicare and Medicaid. In crisis, call or text 988, or call the Philadelphia Crisis Line at (215) 685-6440.
Last updated July 2, 2026
Request your match.
If cost is a concern, say so in the intake and we will talk it through plainly.
HIPAA-secure. Reviewed personally by our intake coordinator team. Response in 1 to 2 business days.